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<br />.' <br /> <br />. CONTRACTOR'S COpy <br />FOR YOUR FILE <br /> <br />J1j Bonestroo <br />..::::.Rosene <br />lJ1..' ^" nd.erlik...&.... <br />Assodates <br />. . .... <br />. ... ....-.. <br />Enginee[s&' ArchItects <br /> <br />Owner: City of Centerville, 1880 Main St., Centerville, MN 55038 Date: November 14, 2005 <br />For Period: 8/1/2005 to 11/14/2005 Request No: 1 <br />Contractor: Penn Contracting Inc., 13025 Central Ave. NE Ste. 200, Minneaoolis, MN 55434 <br /> <br />CONTFACTOR'S REQUEST FOR p~ YMENT <br />MOUND TRAIL WATER MAIN EXTENSION <br />BRA FILE NO. 000616-05142-0 <br /> <br />SUMMARY <br />1 Original Contract Amount $ 47,970.00 <br />2 Change Order- Addition $ 10,929.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 58,899.00 <br />5 Value Completed to Date $ 58,713.36 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 58,713.36 <br />8 Less Retainage 5% $ 2,935.67 <br />9 Subtotal $ 55,777.69 <br />10 Less Amount Paid Previously $ 0.00 <br />11 Liquidated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. $ 55,777.69 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br /> <br />c;~~wt?L--=::> <br /> <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />61605142REQ 1.xls <br /> <br />~/ <br />